Timsit J, Mercadier J J
INSERM U25, Hôpital Necker, Paris, France.
Acta Paediatr Suppl. 1992 Sep;383:32-4.
The effects of chronic growth hormone (GH) hypersecretion on intrinsic contractile properties of the myocardium were studied in rats bearing a GH-secreting tumour. Body weight and heart weight increased, but no true cardiac hypertrophy was observed. The maximum active force of left ventricular papillary muscle was increased, and the maximum shortening velocity of the unloaded muscle was unaltered. This was despite a marked shift of the myosin isoforms towards the low ATPase activity V3 form, which was associated with a similar shift of myosin mRNAs. Total ATPase activity, measured on frozen sections, was unaltered suggesting, together with the results of the mechanical study, an increase in the number of active enzymatic sites. Studies performed on skinned fibres confirmed the increased myocardial contractility, thus suggesting that myocardial adaptation to chronic GH excess occurred, at least in part, at the level of the myofibrillar contractile apparatus.
在患有生长激素(GH)分泌性肿瘤的大鼠中,研究了慢性GH分泌过多对心肌内在收缩特性的影响。体重和心脏重量增加,但未观察到真正的心脏肥大。左心室乳头肌的最大主动力增加,而无负荷肌肉的最大缩短速度未改变。尽管肌球蛋白同工型明显向低ATP酶活性的V3型转变,且肌球蛋白mRNA也有类似转变,但在冷冻切片上测得的总ATP酶活性未改变,结合力学研究结果表明,活性酶位点数量增加。对脱膜纤维进行的研究证实了心肌收缩力增强,因此表明心肌对慢性GH过量的适应性至少部分发生在肌原纤维收缩装置水平。